Ivan Tam, DPT
NPI 1104581248 · Physical Therapist · Nanuet, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Tam, DPT is a Physical Therapist provider in Nanuet, NY (NPI 1104581248).
Provider details
- NPI number
- 1104581248
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 40QA02326900 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-03
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Ivan Tam's NPI number?
- Ivan Tam's National Provider Identifier (NPI) is 1104581248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Tam's specialty?
- Ivan Tam is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ivan Tam located?
- Ivan Tam's practice location on file with NPPES is 412 Market St, Nanuet, NY 10954-2744.
- What is Ivan Tam's phone number?
- The practice phone number listed in the NPPES registry for Ivan Tam is (718) 552-7267.
- Does Ivan Tam accept Medicare?
- Ivan Tam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Tam's NPI active?
- Yes — Ivan Tam's NPI (1104581248) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.